Mina Michael Kamel Michael, | |
1355 Dave Ward Dr Ste 102, Conway, AR 72034-7082 | |
(346) 907-4805 | |
Not Available |
Full Name | Mina Michael Kamel Michael |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 1355 Dave Ward Dr Ste 102, Conway, Arkansas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124687157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0093284 (Maryland) | Secondary |
207R00000X | Internal Medicine | E-15635 (Arkansas) | Primary |
208M00000X | Hospitalist | E-15635 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Regional Medical Center | Russellville, AR | Hospital |
Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
Chi-st Vincent Infirmary | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
St Marys Physician Services Llc | 4981698032 | 63 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Entity Name | Ideal Option Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20170619001810 |
Entity Name | Ideal Telemedicine Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190625003692 |
Mailing Address | Practice Location Address |
---|---|
Mina Michael Kamel Michael, Po Box 242198, Little Rock, AR 72223-0021 Ph: (346) 907-4805 | Mina Michael Kamel Michael, 1355 Dave Ward Dr Ste 102, Conway, AR 72034-7082 Ph: (346) 907-4805 |
Gregory Allen Kendrick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2302 College Ave Ste 100, Conway, AR 72034 Phone: 501-513-5385 Fax: 501-513-5257 | |
Dr. Meryem Maras-casey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 Salem Rd Ste B3, Conway, AR 72034 Phone: 501-585-3935 Fax: 501-585-2955 | |
Dr. Anvitha Reddy Ankireddypalli, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 United Dr Ste 240, Conway, AR 72032 Phone: 501-329-1415 | |
Dr. Hooman Motahari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave Ste 305b, Conway, AR 72034 Phone: 501-205-4990 Fax: 501-205-4993 | |
Arthur Reed Slaton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Altus St, Conway, AR 72032 Phone: 501-513-5909 Fax: 501-513-5257 | |
Swetha Boddeda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave Ste 305a, Conway, AR 72034 Phone: 501-358-6145 Fax: 501-504-6642 |